The Physician and the Hypochondriacal Patient

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Abstract
THE hypochondriacal patient is one who insistently complains about physical symptoms for which there are no demonstrable organic findings, or who has symptoms that are notably out of proportion to the (usually minor) physical signs. For such patients, the relationship with the physician is especially important; concerns about physical symptoms become a major way of interacting, often making it difficult for the physician to help the patient. The patient's behavior is frequently insistent and demanding, with overt or barely submerged anger. Current or past physicians may be devalued and blamed for inadequacies in diagnosis and care. The feelings and responses . . .

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